Physiotherapy Theory and Practice最新文献

{"title":"Effectiveness of high-power laser therapy on partial tears of the supraspinatus tendon: A randomized controlled trial.","authors":"Zohreh Zaki, Roya Ravanbod, Morteza Nakhaei Amroodi, Mohammad Najafi Ashtiani","doi":"10.1080/09593985.2025.2474607","DOIUrl":"https://doi.org/10.1080/09593985.2025.2474607","url":null,"abstract":"<p><strong>Background: </strong>High-power laser therapy (HPLT) has potential in treating shoulder disorders. However, the impact of HPLT on supraspinatus partial thickness tear (SS-PTT) remains unexplored.</p><p><strong>Objective: </strong>To evaluate the effects of HPLT on pain, function, and musculoskeletal ultrasound (MSK-US) parameters in SS-PTT.</p><p><strong>Methods: </strong>A randomized, assessor-blinded, placebo-controlled clinical trial was conducted. Thirty-six patients with SS-PTT were randomized into the HPLT+ exercise (Exs) group or the sham+ Exs group. Eighteen age-matched healthy subjects were evaluated for MSK-US parameters as the control group. Ten treatment sessions were administered three times per week. The HPLT was used with a maximum power of 20 watts (W), 2478 joules (J), and 24.78 J/cm² for the first three sessions, followed by 4678 J and 46.78 J/cm² for the subsequent seven sessions. Musculoskeletal parameters, visual analog scale (VAS), and shoulder pain and disability index (SPADI) were measured before and 48 hours after the final treatment session.</p><p><strong>Results: </strong>At baseline, short-axis (SAX) thickness (<i>p</i> = .027, η² <i>p</i> = .13), echogenicity (<i>p</i> = .014, η² <i>p</i> = .16), and occupation ratio (OR) (<i>p</i> = .003, η² <i>p</i> = .2) were different between patient groups with control. All measured parameters significantly improved in the HPLT, except for echogenicity (<i>p</i> = .447, η² <i>p</i> = .02) and the disability subscale of the SPADI (<i>p</i> = .131, η² <i>p</i> = .07). After treatment, sham + Exs still showed significant differences in SAX thickness (<i>p</i> = .047, η² <i>p</i> = .11), echogenicity (<i>p</i> = .001, η² <i>p</i> = .25) and OR (<i>p</i> = .015, η² <i>p</i> = .15) with control.</p><p><strong>Conclusion: </strong>High-power laser therapy was an effective modality for patients with SS-PTT. Its ability to decrease pain and improve MSK-US parameters, especially tear size, enhances its value as part of conservative treatments.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of immersive virtual reality-based action observation training integrated with focal muscle vibration on upper extremity in a patient with chronic disability following stroke: a single-subject study.","authors":"Paola Adamo, Davide De Leo, Tommaso Fava, Simone Binda, Pietro Avanzini, Maddalena Fabbri-Destro, Roberto Gatti","doi":"10.1080/09593985.2025.2468472","DOIUrl":"https://doi.org/10.1080/09593985.2025.2468472","url":null,"abstract":"<p><strong>Background: </strong>The association of different sensory inputs enhances brain plasticity in patients after stroke, but no studies have associated Action Observation Training (AOT) delivered in immersive virtual reality (VR) with Focal Vibration (FV) to elicit a kinesthetic illusion coherent with the observed task to improve motor function.</p><p><strong>Objective: </strong>The study aimed to evaluate the feasibility of AOT delivered in immersive VR integrated with FV of upper limb muscles on manual dexterity in patients with chronic stroke.</p><p><strong>Methods: </strong>A single-subject study was conducted (A-B design). A chronic stroke patient with right spastic hemiparesis underwent a 12-session VR-AOT training consisting of observation and imitation of upper limb transitive tasks. In addition, FV was applied on wrist and finger extensor muscles during observation. Upper limb dexterity was assessed through the Box and Blocks test and kinematic indexes during Nine-Hole Peg Test (NHPT) using an optoelectronic system. The patient underwent three evaluation sessions before treatment (A-phase), three during treatment (B-phase), and a follow-up assessment after 3 months. Change was considered meaningful when two consecutive data points in the treatment period exceeded the baseline two standard deviation range.</p><p><strong>Results: </strong>An improvement in the NHPT score exceeding the minimal detectable change of 32.8 s was found for the paretic upper limb during the B-phase. No differences were found in the Box and Block Test.</p><p><strong>Conclusion: </strong>Benefits induced by integrating VR-based AOT with FV in the current study suggested the need to investigate the effects of this intervention in chronic stroke patients with spasticity.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-9"},"PeriodicalIF":1.6,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Immediate Effects of Mobilization With Movement Technique on Cervical Muscle Stiffness, Pain, and Range of Motion in Individuals With Mechanical Neck Pain: A Double-Blind Randomized Controlled Trial.","authors":"Yıldız Analay Akbaba, Ayşem Ecem Özdemir, Kübra Bali, Ecem Yalçın","doi":"10.1080/09593985.2025.2473471","DOIUrl":"https://doi.org/10.1080/09593985.2025.2473471","url":null,"abstract":"<p><strong>Background: </strong>Mulligan sustained natural apophyseal glide (SNAG) is a mobilization technique that aims to reduce pain and improve function by correcting positional errors in the facet joint.</p><p><strong>Purpose: </strong>To investigate the immediate effects of the Mulligan SNAG application on muscle stiffness, pain, pressure pain threshold (PPT) and range of motion (RoM) in patients with chronic mechanical neck pain.</p><p><strong>Methods: </strong>A randomized, double-blind trial was conducted. Forty individuals with chronic mechanical neck pain (mean age = 39.35 ± 6.68 years) were randomized into two groups: Mobilization with movement group (MWMG), and sham group (SG). Muscle stiffness was measured with MyotonPro, pain intensity with Numerical Pain Rating Scale, cervical RoM with a digital inclinometer, and PPT with an algometer. Measurements were performed pre-and 5 minutes post-intervention in a single session.</p><p><strong>Results: </strong>Muscle stiffness significantly changed in the MWMG for the left trapezius and right cervical extensors (<i>p</i> = .003, effect size (ES) = 0.42; <i>p</i> = .031, ES = 0.49, respectively), whereas no significant changes were observed in the SG (<i>p</i> = .097, ES = 0.12; <i>p</i> = .270, ES = 0.22, respectively). The MWMG showed improvements in pain (<i>p</i> = .001, ES = 0.70) and RoM (right: <i>p</i> = .0001, ES = 0.89; left: <i>p</i> = .0001, ES = 0.99). The SG also showed improvements in pain (<i>p</i> = .0001, ES = 0.76) and RoM (right: <i>p</i> = .0001, ES = 0.49; left: <i>p</i> = .0001, ES = 0.35). PPT improvements were observed in the MWMG for right and left trapezius (<i>p</i> = .0001, ES = 1.21; <i>p</i> = .040, ES = 0.43, respectively), whereas no significant changes occurred in the SG (<i>p</i> = .713, ES = 0.03; <i>p</i> = .839, ES = 0.01, respectively).</p><p><strong>Conclusion: </strong>The mobilization with movement technique leads to significant immediate improvements in muscle stiffness and pain-related parameters in individuals with chronic neck pain.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-12"},"PeriodicalIF":1.6,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost of manual therapy for musculoskeletal disorders: a systematic review of systematic reviews with methodological and reporting quality.","authors":"Kaitlin Kirker, Michael Masaracchio, Rebecca States, Jodi Young","doi":"10.1080/09593985.2025.2471398","DOIUrl":"https://doi.org/10.1080/09593985.2025.2471398","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this systematic review of systematic reviews was to determine the cost-effectiveness of manual therapy in the management of patients with musculoskeletal disorders, with an assessment of methodological and reporting quality.</p><p><strong>Methods: </strong>To be included, publications needed to be systematic reviews including studies with participants with musculoskeletal conditions > 18 years old; the experimental intervention was manual therapy; assessed the cost of manual therapy; and were published in English. Literature, narrative, and scoping reviews were excluded. An electronic search was conducted in May 2024 using CINAHL (EBSCO Host), Ovid MEDLINE® ALL, the Cochrane Library, and Embase. The methodological and reporting quality of systematic reviews was assessed using A MeaSurement Tool to Assess Systematic Reviews 2 (AMSTAR 2) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA 2020). Cost data was reported narratively. AMSTAR 2 and PRISMA compliancewas summarized narratively and graphically.</p><p><strong>Results: </strong>Eleven systematic reviews were included. Approximately half of the reviews on spine pain concluded that manual therapy and acupuncture were cost-effective compared to usual care. A limited number of systematic reviews on peripheral joint pain concluded that manual therapy was cost-effective for shoulder pain, but was inconclusive for ankle fractures and knee osteoarthritis. Confidence in the results of the included reviews was low to critically low. Compliance with PRISMA guidelines was highly variable.</p><p><strong>Conclusion: </strong>Overall low to critically low methodological quality, variability in reporting quality, and heterogeneity of cost data makes it difficult to draw summative conclusions about the cost-effectiveness of manual therapy for patients with musculoskeletal conditions.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-18"},"PeriodicalIF":1.6,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"This patient is not appropriate\": Perspectives of physiotherapy students and clinical educators on exposing students to patients with complex needs during clinical practice placements.","authors":"Elaine McGivern, Allison Mandrusiak, Ann Rahmann, Roma Forbes","doi":"10.1080/09593985.2024.2355243","DOIUrl":"10.1080/09593985.2024.2355243","url":null,"abstract":"<p><strong>Background: </strong>Clinical practice placements play an important role in preparing students for challenging areas of clinical practice. Little is known about student learning needs for working with patients with complex needs during clinical practice placements, and clinical educator decision-making that underpins this exposure.</p><p><strong>Purpose: </strong>To explore the perspectives of physiotherapy students and clinical educators on exposing students to working with and learning from patients with complex needs during clinical practice placements across Queensland and New South Wales, Australia.</p><p><strong>Methods: </strong>Six semi-structured focus groups with pre-registration physiotherapy students undertaking clinical practice placements (<i>n</i> = 19) and semi-structured one-on-one interviews with clinical educators (<i>n</i> = 20). Data were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Four overarching themes were generated following analysis: 1) Complexity is challenging; 2) Tension between student exposure and patient care; 3) Variance in expectations; and 4) Readiness for complexity.</p><p><strong>Conclusion: </strong>Physiotherapy students and clinical educators recognize the challenges and importance of exposure to patients with complex needs. Student learning experiences are influenced by clinical educator decision-making, which is often unclear, leading to varying opportunities. This study highlights the need for enhanced support from clinical educators to prepare students for working with patients with complex needs.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"617-632"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of adding Mediterranean diet to aerobic and strengthening exercise program on pain, inflammation, and muscle performance in females with rheumatoid arthritis: a randomized controlled trial.","authors":"Nabil M Abdel-Aal, Ragia M Kamil, Dalia I Tayel, Rania H Hamed, Mohamed M Ragab, Alshaymaa S Abd El-Azeim","doi":"10.1080/09593985.2024.2358122","DOIUrl":"10.1080/09593985.2024.2358122","url":null,"abstract":"<p><strong>Background: </strong>People with rheumatoid arthritis (RA) frequently use dietary interventions such as Mediterranean diet (MedDiet) and exercises to complement pharmacotherapy.</p><p><strong>Objective: </strong>To investigate the effect of adding MedDiet to a designed exercise program on quadriceps and hamstrings muscles performance, pain, C-reactive protein (CRP), handgrip strength, bodyweight, and function in females with RA.</p><p><strong>Methods: </strong>Sixty females were allocated randomly to the MedDiet plus exercise program (<i>n</i> = 30) or exercise program only (<i>n</i> = 30). The interventions continued for 6 months followed by 6 months of follow-up with no intervention. The primary outcome was the quadriceps and hamstrings muscles performance (agonist-antagonist ratio). The secondary outcomes were visual analog scale (VAS) for pain, CRP blood marker for inflammation, handheld dynamometer for handgrip strength, Health AssessmentQuestionnaire disability index (HAQ-DI) for function, and body weight. All outcomes were measured at baseline, 6-month post-intervention, and 12 months from baseline as a follow-up.</p><p><strong>Results: </strong>The MedDiet group showed statistically significant improvements in all the measured outcomes than the control group (<i>p</i> < .05) after 6 and 12 months. After 6 months of intervention, the mean±SD for agonist-antagonist ratio, pain, and HAQ-DI were 84.59 ± 5.33 and 69.92 ± 5.56 (<i>p</i> < .001, ƞ² = 0.65), 42.33 ± 8.98 and 54.33 ± 10.06 (<i>p</i> < .001, ƞ² = 0.3), 1.13 ± 0.48 and 1.9 ± 0.59 (<i>p</i> < .001, ƞ² = 0.34) in the MedDiet and control groups, respectively.</p><p><strong>Conclusion: </strong>Adding MedDiet to aerobic and strengthening exercise program improved quadriceps and hamstrings muscles performance, pain, functional ability, CRP, handgrip strength, and body weight. Consequently, Mediterranean diet should be considered as adjunctive therapy in treating females with RA.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"571-587"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141159250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-promoting physical activities for refugees from Syria - physiotherapists' clinical reasoning.","authors":"Marianne Lindahl, Signe Andersen, Anne Vollen Rafn, Jan Rafn, Jeannette Præstegaard, Anne Juul Sønderskov, Nina Odgaard Nielsen","doi":"10.1080/09593985.2024.2353244","DOIUrl":"10.1080/09593985.2024.2353244","url":null,"abstract":"<p><strong>Background: </strong>Refugees from Syria face health challenges with psychosocial dimensions due to disrupted networks, uncertain life situations, and language barriers. Additionally, a sedentary lifestyle increases the risk of noncommunicable diseases, so health-promoting initiatives involving physical activities are essential.</p><p><strong>Purpose: </strong>To explore physiotherapists' clinical reasoning and collaboration with refugee families in developing group-based health-promoting physical exercising to increase participants' wellbeing, sense of togetherness, and self-efficacy.</p><p><strong>Methods: </strong>The design was participating action research with 24 resettled refugees from Syria. Data consisted of field notes and three focus group interviews. Data gathering followed a phenomenological approach, and the four-step analysis was inspired by Giorgi.</p><p><strong>Results: </strong>Based on clinical reasoning and collaboration with the participants and their wishes, the physiotherapists organized a physical exercise intervention integrating language learning. The physiotherapists based the intervention on social cognitive theory, focusing on the group's and the individual's capacity and working with the participants on exercise and organizational adaptations to the group and individual. The participants appreciated the joyful physical activities, body awareness, and a sense of togetherness. To accommodate that many suffered from musculoskeletal pain, the physiotherapists developed an intervention for therapeutic exercising that included individual assessment and pain management.</p><p><strong>Conclusion: </strong>The physiotherapists' clinical reasoning in working with refugees included the cultural, linguistic, and social context rooted in a salutogenic perspective. The participants' wellbeing and self-efficacy in adhering to exercise increased. They experienced pain relief and increased confidence in using the body.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"602-616"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140945947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and validity of the 6-minute pegboard and ring test for functional exercise capacity in patients with breast cancer.","authors":"Hacer Oncu, Ebru Calik-Kutukcu, Naciye Vardar Yagli, Deniz Inal-Ince, Melda Saglam, Ferhat Unal, Sercan Aksoy","doi":"10.1080/09593985.2024.2353260","DOIUrl":"10.1080/09593985.2024.2353260","url":null,"abstract":"<p><strong>Background: </strong>Chronic pain, sensory disturbances, and lymphedema are frequent after breast cancer, leading to arm dysfunction. There is a need for objective performance-based clinical exercise tests for the upper extremity in patients with breast cancer.</p><p><strong>Objective: </strong>The aim of this study was to evaluate the validity and reliability of the 6-minute pegboard and ring test (6PBRT) in breast cancer survivors.</p><p><strong>Methods: </strong>Forty-eight women with breast cancer (mean age = 55.40 ± 10.40 years) were included. All patients performed 6PBRT on the first day and one week later to investigate the test-retest reliability of the 6PBRT, and intraclass correlation coefficients (ICC) were calculated. The peak workload (W_peak) and oxygen consumption level (VO_2peak) during the arm ergometer test were used as outcomes for the criterion validity of the 6PBRT.</p><p><strong>Results: </strong>The 6PBRT showed good test - retest reliability with an ICC_1,2 value of 0.871 [95% confidence interval (CI) 0.769-0.928]. The first 6PBRT score was very strongly correlated with the second test score (<i>r</i> = 0.866, <i>p</i> < .001). The 6PBRT score was significantly correlated with VO_2peak (<i>r</i> = 0.634, <i>p</i> < .001), and W_peak (<i>r</i> = 0.546, <i>p</i> < .001). While the 6PBRT score had less effect on VO_2peak, the determination of VO_2peak in the model was very good (R² = 0.832).</p><p><strong>Conclusion: </strong>The 6PBRT has good test-retest reliability and is a valid test in individuals with breast cancer. These findings suggest that 6PBRT is a practical, useful, valid and reliable assessment tool for determining functional arm exercise capacity in patients with breast cancer.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"643-655"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140916451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of the psychometric properties of \"exercise Benefits/Barriers scale\" in Turkish patients with rheumatoid arthritis.","authors":"Melissa Köprülüoğlu, Devrim Can Saraç, İlknur Naz, Vedat Gerdan, Dilek Solmaz, Servet Akar","doi":"10.1080/09593985.2024.2353259","DOIUrl":"10.1080/09593985.2024.2353259","url":null,"abstract":"<p><strong>Background: </strong>Rheumatoid arthritis (RA) is a chronic systemic disease accompanied by several symptoms and functional disabilities. Physical activity (PA) is crucial for disease management and patients' perception of exercise is essential for a rehabilitation plan.</p><p><strong>Purpose: </strong>This study aims to examine the psychometric properties of the Exercise Benefits/Barriers Scale (EBBS) that is frequently used in previous studies in the RA population.</p><p><strong>Methods: </strong>We included a total of 104 patients in our study. Test-retest reliability was assessed using intraclass correlation coefficient (ICC 2,k). The International Physical Activity Questionnaire (IPAQ) and the Bristol Rheumatoid Arthritis Fatigue Scale (BRAFS) were used for the convergent validity of the scale. For discriminant validity analysis, the total barriers and benefits scores were examined according to exercise status (yes/no), PA level (high/low), and fatigue severity (high/low). Additionally, standard error of measurement (SEM) and minimal detectable change with 95% confidence (MDC₉₅) are calculated.</p><p><strong>Results: </strong>EBBS subscores showed moderate to excellent reliability (ICC: 0.71 to 0.98) and correlated PA (<i>r</i> = 0.453 and 0.515, EBBS-barriers and benefits subscores, respectively) and fatigue (<i>r</i>=-0.261 and -0.393, EBBS-barriers and benefits subscores, respectively). The SEM and MDC₉₅ values were calculated as 2.03 and 7.96 for EBBS-benefits subscores and 0.93 and 3.65 for EBBS-barriers subscores. The EBBS-Benefits and Barriers subscores differed according to exercise status (<i>p</i> = .08), PA level (<i>p</i> < .01), and fatigue (<i>p</i> = .08).</p><p><strong>Conclusion: </strong>The results highlighted that the EBBS is a reliable and valid instrument to assess exercise benefits and barriers in patients with RA.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"555-562"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Exploring job demands and resources influencing mental health and work engagement among physical therapists: a cross-sectional survey of Norwegian physical therapists.\"","authors":"Susanne Hagen, Linn Therese Jacobsen Bergheim, Steffen Torp","doi":"10.1080/09593985.2024.2348731","DOIUrl":"10.1080/09593985.2024.2348731","url":null,"abstract":"<p><strong>Background: </strong>Physical therapists play a vital role in the Norwegian health care system, and their work environment may be a significant determinant for their wellbeing and job performance.</p><p><strong>Objective: </strong>1) Assess differences in work environment, mental health problems, and work engagement between physical therapists working in specialist versus municipal health care services. 2) Assess the relationships between work environment factors and work engagement and mental health problems.</p><p><strong>Methods: </strong>In this cross-sectional study, 273 physical therapists responded to the Survey for Workplace Health Promotion (response rate = 35%). Independent-sample t-tests, Pearson correlations, and multiple regression analyses were performed.</p><p><strong>Results: </strong>This study did not find any significant differences between physical therapists working in Norwegian hospitals and therapists working in the municipal health care services. Analyses showed that general demands (<i>β</i> = 0.21), fragmented work tasks (0.18), predictability (-0.17) and social support (-0.34) were associated with mental health problems, while meaningful work (0.41), the opportunity to use one's strengths and potential (0.14), and social support (0.25) were associated with higher work engagement.</p><p><strong>Conclusion: </strong>This study highlights the role of poor job design and professional isolation as hindrances to work engagement among physical therapists, whereas work related meaningfulness and peer support promote their health and wellbeing.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"532-543"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140900050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}